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Organization
MYO-THERAPIES, INC
Active
Organization
MYO-THERAPIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYLOU DINICOLAS LMT (PRES.)
(954) 593-9735
Entity
Organization
Contact information
Practice address
4149 S PINE ISLAND RD, DAVIE, FL 33328-2831
(954) 593-9735
Mailing address
4149 S PINE ISLAND RD, DAVIE, FL 33328-2831
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
MA29513
FL
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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